Healthcare Provider Details

I. General information

NPI: 1124937586
Provider Name (Legal Business Name): ERIN MICHELE BENNETT ED.S
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21901 S VICTORY RD
SPRING HILL KS
66083-9660
US

IV. Provider business mailing address

21901 S VICTORY RD
SPRING HILL KS
66083-9660
US

V. Phone/Fax

Practice location:
  • Phone: 913-357-5381
  • Fax:
Mailing address:
  • Phone: 913-357-5381
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TS0200X
TaxonomySchool Psychologist
License Number1787543692
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: